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Periods of unusually intense emotion, changes in sleep patterns and activity levels, and uncharacteristic behaviors—often during manic periods—and feelings of sadness, hopelessness, and loss of energy during depressive periods.
Mary could feel on top of the world, full of energy and making grand plans one week, then feel extremely low, finding it hard to get out of bed and facing immense sadness the next week.
Mood stabilizers, psychotherapy (including cognitive-behavioral therapy and family-focused therapy), antipsychotics, and in some cases, ketamine treatment may be considered.
The combination of medication and therapy is effective in managing and preventing bipolar episodes.
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